Individual provider Active NPI

Kathryn Marie Kinisky, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1104435387
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010602 Issued in NY
Practice address
40 N Main Ave
Albany, NY 12203-1481
Phone
(518) 265-4255
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010602 NY Primary

Addresses

Primary practice location

40 N Main Ave
Albany, NY 12203-1481

Mailing address

308 New Salem South Rd
Voorheesville, NY 12186-4934
Phone (518) 765-2940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1104435387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NEW SALEM SOUTH RD",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121864934",
            "telephone_number": "518-765-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031481",
            "telephone_number": "518-265-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINISKY",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.